Transcript
STATE OF WYOMING COUNTY OF ________________
) ) ss )
Plaintiff:____________________________, ) (Print name of person filing) ) ) vs. ) ) Defendant:__________________________. )
IN THE DISTRICT COURT _______________ JUDICIAL DISTRICT Civil Action Case No. ___________
(Spouse) (Print name)
AFFIDAVIT FOR DIVORCE WITHOUT APPEARANCE OF PARTIES
(Only use if the parties have reached an agreement and both have signed the Decree of Divorce or if either party defaulted and all default paperwork has been presented to the court and an Entry of Default issued.) STATE OF WYOMING
) ) ss. )
COUNTY OF _____________
_____________________________________, being first duly sworn, deposes and says: (Print Name) 1.
I am the
Plaintiff
Defendant in the case.
2. Plaintiff resided in the State of Wyoming for more than 60 days immediately prior to filing the Complaint for Divorce in this case. 3. The Plaintiff Defendant and I were married to each other on the _____ day of ___________, ____________ in _____________, ______________ __. (Month) (Year) (City) (State) 4.
Plaintiff is currently a resident of
County, State of _____________.
5.
Defendant is currently a resident of
County, State of ______________.
6.
Plaintiff and Defendant do not have any minor children.
7.
To the best of Plaintiff’s knowledge, Wife is not pregnant, OR Wife is pregnant (If pregnant, consult an attorney. Your divorce may not be able to be final until after the baby is born) and
Affidavit for Divorce (No Minor Children) Revised July 2013 Page 1 of 6
The baby is due on or about (date), (and, check one space below): The Plaintiff and Defendant are the biological parents of the child, OR Plaintiff is not the biological parent of the child, OR Defendant is not the biological parent of the child. 8.
Irreconcilable differences exist in the marriage.
9.
The Wife does not desire to have her former name restored; OR her former name restored to: (list first, middle, and last name desired)
10. The Decree of Divorce equitably distributes the property and debt acquired during our marriage. In support of this assertion I am submitting the following evidence: A.
Debts (For Party Designation use: "P" = Plaintiff, "D " = Defendant, "J" = Joint)
PRINT CLEARLY OR TYPE Party Paying Debt
Creditor and Acct. #
Name(s) on Account
Date of Balance
Balance
Main Purchase(s) for Which Debt Was Incurred
$ $ $ $ $ $ Add additional sheets, if necessary. Clearly identify any attached documents. Total Debt of Plaintiff: $ Total Debt of Defendant: $ B.
Real Estate (For Party Designation use: "P" = Plaintiff, "D " = Defendant, "J" = Joint)
PRINT CLEARLY OR TYPE Party Paying Debt
Property Type Owned and Address (residence, condo, rental, etc.)
Name(s) on Title
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Fair Market Value
Basis of Fair Market Value (i.e.,appraisal, estimate, purchase price)
1st Mortgage
2nd Mortgage
Add additional sheets, if necessary. Clearly identify any attached documents. Total Debt of Plaintiff: $ Total Debt of Defendant: $ C.
Motor Vehicles (For Party Designation use: "P" = Plaintiff, "D " = Defendant, "J" = Joint)
PRINT CLEARLY OR TYPE Party Keeping Vehicle
Year, Make, Model and VIN
Name(s) on Title
Name of Creditor
Fair Market Value
Amount of Debt
Add additional sheets, if necessary. Clearly identify any attached documents. Total Debt of Plaintiff: $ Total Debt of Defendant: $ D.
Cash on Hand, Bank, Checking, or Saving Accounts, CD’s (For party designation
use: "P" = Plaintiff, "D" =Defendant or "J" = Joint)
PRINT CLEARLY OR TYPE Party Keeping Property
Type of Account
Name of Bank
Account No. (Last 4 Digits Only)
Date of Balance
Balance
Add additional sheets, if necessary. Clearly identify any attached documents. Amount to Plaintiff: $ Amount to Defendant: $ Affidavit for Divorce (No Minor Children) Revised July 2013 Page 3 of 6
E. Furniture and Household Goods ("Value" equals what you could sell it for in its current condition, such as at auction, not what you paid for it or cost of replacement.) PRINT CLEARLY OR TYPE Description of Items Household furnishings and personal belongings (clothes, jewelry, etc.)
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Value of Plaintiff’s Possessions 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. $
TOTAL:
Value of Defendant’s Possessions 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. $
Add additional sheets, if necessary. Clearly identify any attached documents. F. Miscellaneous/Other Assets or Interests (not listed above) List all other assets, including life insurance, stocks, bonds, retirement benefits, income tax refunds owing, money owed to you, livestock, guns, etc. as distributed in the Decree. PRINT CLEARLY OR TYPE (For party designation use: "P" = Plaintiff, "D" =Defendant or "J" = Joint) Party Keeping Property
Description
Account, serial or other identifying number, if any - Last 4 Digits Only
Value
Add additional sheets, if necessary. Clearly identify any attached documents. Amount to Plaintiff: $ Amount to Defendant: $ Affidavit for Divorce (No Minor Children) Revised July 2013 Page 4 of 6
11. Please list why the distribution of property and debts listed above is “equitable.” The Wyoming Supreme Court has held that a just and equitable distribution does not necessarily mean “equal.”
I request the court grant me a divorce. OATH I affirm that this Affidavit (including attached sheets, if relevant) contains a complete disclosure, to the best of my information and belief, of all items of property in which my spouse and I have any current interest or expect to receive in the future based upon the work or events that took place during the marriage, and all liabilities for which I am aware that either of us could be held personally responsible. I also affirm that the representations made herein concerning my income and expenses, and that of my spouse, are accurate to the best of my knowledge. I am aware that should the information provided herein prove to be fraudulent or contain material misstatements or omissions, whether inadvertent or intentional, or be found to be inaccurate, the court shall have continuing jurisdiction to enter such orders as it considers necessary in equity and law to determine the rights and duties with regard to that property right or obligation. I am also aware the court may punish as perjury any materially false statements knowingly made with intent to defraud or mislead. Signature Printed Name: Address: Phone Number: Subscribed and sworn to before me by ____________________________ on this _____ day of ____________________, 20____. Witness my hand and official seal. ______________________________ Notarial Officer / Court Clerk My Commission Expires:
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CERTIFICATE OF SERVICE I certify that on
(date) the original of this document
was filed with the Clerk of District Court; and, a true and accurate copy of this document was served on the other party by OR
Hand Delivery OR
Faxed to this number
by placing it in the United States mail, postage pre-paid, and
addressed to the following: (Print Defendant/Defendant’s Attorney’s Name and Address) TO: ______________________________________ ______________________________________ ______________________________________
Your signature
Print name
Affidavit for Divorce (No Minor Children) Revised July 2013 Page 6 of 6
